MEDICARE: PIERCE SWEENEY CHIROPRACTOR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	12617	TX

General Provider Information

NPI Number	:	1194142554
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PIERCE SWEENEY CHIROPRACTOR

Provider Business Mailing Address
First Line	:	PO BOX 17655
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78217-0655
Country	:	US
Telephone Number	:	210-323-2163
Fax Number	:	210-634-2596

Provider Business Practice Location Address
First Line	:	506 E RAMSEY RD # 5
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-4657
Country	:	US
Telephone Number	:	314-708-9346
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2014
Last Update Date	:	04/27/2024

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Directions to “ PIERCE SWEENEY CHIROPRACTOR” Practice Location

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